Individual provider Active NPI

William Allen Okerblom, M.D.

  • Dermatology Physician
  • Santa Maria, CA
National Provider Identifier
1396893046
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G49571 Issued in CA
Practice address
1103 Devonshire PL
Santa Maria, CA 93455-3444
Phone
(805) 478-6570
Fax
(866) 317-4919
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G49571 CA
Dermatology Physician 207N00000X G49571 CA Primary

Addresses

Primary practice location

1103 Devonshire PL
Santa Maria, CA 93455-3444

Mailing address

1103 Devonshire PL
Santa Maria, CA 93455-3444
Phone (805) 478-6570

Other identifiers 2

IdentifierTypeStateIssuer
GI162AOtherPTAN
P00465406OtherCAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510001231 CA Practitioner - Family Practice 5193765907 Reassigns benefits to 2 organizations
Practice locations: Santa Maria, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

915 N Milpas St
Santa Barbara, CA 93103-2331
Phone (805) 963-1641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G49571CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Dermatology a Professional Medical Corporation Current Accepting new patients
Central Coast Family Care Medical Associates, Inc Family Medicine Current Accepting new patients
Sarasota Dermatology, LLC Current Accepting new patients
Santa Barbara Neighborhood Clinics CurrentSince Apr 1, 2025 Accepting new patients
Central Coast Family Care Medical Associates, Inc Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Santa Barbara Neighborhood Clinics Current Accepting new patients
Santa Barbara Neighborhood Clinics CurrentSince Apr 1, 2025 Accepting new patients
Dignity Health PastSince Nov 4, 2018 Accepting new patients
Santa Barbara Neighborhood Clinics Past Accepting new patients

Locations

970 Embarcadero del Mar
Isla Vista, CA 93117
Phone (805) 968-1511

628 W Micheltorena St
Santa Barbara, CA 93101
Phone (805) 963-1546

5580 Calle Real
Santa Barbara, CA 93111
Phone (805) 617-7878

915 N Milpas St
Santa Barbara, CA 93103
Phone (805) 963-1641

1145 E Clark Ave
Ste C
Santa Maria, CA 93455
Phone (805) 332-4626

915 E Stowell Rd
Ste B
Santa Maria, CA 93454
Phone (805) 938-7424

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1396893046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 DEVONSHIRE PL",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934553444",
            "telephone_number": "805-478-6570",
            "fax_number": "866-317-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 DEVONSHIRE PL",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934553444",
            "telephone_number": "805-478-6570",
            "fax_number": "866-317-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKERBLOM",
        "first_name": "WILLIAM",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G49571",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G49571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "GI162A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00465406",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.